3A

palagyan ng id at name kada form
mail@pastecode.io avatarunknown
html
2 months ago
8.6 kB
6
Indexable
Never
                <form action="" method="post" id="form3A" style="display: none;">
                    <div class="row mt-3">
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Date</label>
                                <input type="text" name="" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Page Number</label>
                                <input type="number" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Book Number</label>
                                <input type="number" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom Name</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride Name</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom Age</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride Age</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom Citizenship</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride Citizenship</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom Civil Status</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride Civil Status</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom's Mother</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride's Mother</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Groom's Father</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Bride's Father</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Registry Number</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Date of Registration</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-6">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Date of Marriage</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-6">
                            <div class="mb-1">++
                                <label for="simpleinput" class="form-label">Place of Marriage</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Amount Paid</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">O.R. Number</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                        <div class="col-lg-4">
                            <div class="mb-1">
                                <label for="simpleinput" class="form-label">Date Paid</label>
                                <input type="text" id="simpleinput" class="form-control">
                            </div>
                        </div>
                    </div>
                </form>